| NPI | 1245564103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP117076) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 676351) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2023-11-29 |